Individual
DR. DEAN CLINTON PREDDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-3273
Mailing address
630 W 168TH ST # 4, VC 12TH FLOOR, SUITE 208, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101288095
VA
207RN0300X
Nephrology Physician
Primary
224968
NY
207RN0300X
Nephrology Physician
D0105420
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02526185
—
NY
05
—
387969100
—
MD
Enumeration date
11/01/2006
Last updated
03/25/2026
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